The investigators are comparing two standard of care procedures which can be performed at the same time, or sequentially. The hypothesis being tested is whether simultaneous release of both the carpal Tunnel and the Pronator Teres results in a better outcome in terms of symptom relief and recurrence than Carpal Tunnel Release alone when signs and symptoms of both carpal tunnel and pronator Teres syndromes are present.

The primary outcome measure will be the difference between the pre and post operative assessments of the questionnaire, which will represent the degree of improvement as result of the surgical intervention.

Patients enrolled in this arm of the study will have both surgical procedures performed at the same time

Procedure: dual compression release

both procedures will be done on the same day

Active Comparator: Carpal Tunnel Release only

Patients enrolled in this arm will have only Carpal Tunnel Release performed. In they still have symptoms of median nerve neuropathy, they will be scheduled for an additional procedure to release the pronator Teres in a separate surgery.

Procedure: Pronator Teres Release

Surgical release of median nerve compression

Other Name: carpal tunnel release

Procedure: dual compression release

Both the carpal tunnel compression and the pronator teres compression will be released on the same day.

Procedure: median nerve release only

only the carpal tunnel compression is released

Eligibility

Ages Eligible for Study:

18 Years to 65 Years (Adult)

Genders Eligible for Study:

Both

Accepts Healthy Volunteers:

No

Criteria

Inclusion Criteria: Positive Tinnels signs over the median nerve at the Carpal Tunnel and Pronator Teres

Normal two point discrimination

Over the age of 18 and under the age of 65

Exclusion Criteria:

Peripheral neuropathy of the median nerve secondary to trauma

Presence of thoracic outlet syndrome

Presence of cervical disk disease

Under the age of 18 and over the age of 65

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study.
To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01562860